CAROLA A TANNA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

CAROLA

Middle

Last Name

TANNA

Business Name

CAROLA A TANNA

Original Issue Date

06/04/2002

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

LEXINGTON

State

Zip

24450

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023